2017 Census Test - Self Response

Draft 4 (9-1-2016)

OMB No. xxxx-xxxx: Approval Expires xx/xx/xxxx

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

March 23, 2017

Dear Resident:
Earlier, you should have received instructions for completing the 2017 Census Test online. Local
communities depend on information from the census to fund programs that promote the well-being of
families and children as well as equal employment opportunities for you and your neighbors. If you have
not already responded, please complete this short 10-minute survey now or complete and return the
paper questionnaire that we sent you earlier.
Respond now at:
survey.census.gov

Your USER ID is:

If we do not receive your response online, we will mail another paper questionnaire to your address in a
few weeks.
Your response is critically important to your local community and your country and is required by law.
Responding promptly will prevent you from receiving phone calls or personal visits from U.S. Census
Bureau interviewers.
By law, your answers are confidential. The Census Bureau cannot give out information that identifies you
or your household to anyone, including other government agencies.
If you need help completing your survey, please call 1–844–330–2020 toll-free.
Sincerely,

John H. Thompson
Director

Mensaje importante: Para completar la Prueba del Censo del 2017, por favor, visite
survey.census.gov o llame sin costo al 1–844–468–2020.
census.gov
DG-16(L4) (8-2016)

Base prints black 100%
Overlay prints pantone cyan #6 (10%)